| Dr Blake Ponist, OT | |
|
801 Corporate Centre Dr, O Fallon, MO 63368-8685 | |
| (636) 851-4000 | |
| Not Available |
| Full Name | Dr Blake Ponist |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 801 Corporate Centre Dr, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932675766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31006729A (Indiana) | Secondary |
| 225X00000X | Occupational Therapist | 2024012844 (Missouri) | Primary |
| Provider Name | Accelerated Rehabilitation Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Ponist, OT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Dr Blake Ponist, OT 801 Corporate Centre Dr, O Fallon, MO 63368-8685 Ph: (636) 851-4000 |
Prorehab Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 343 Winding Woods Ctr, O Fallon, MO 63366 Phone: 636-439-2004 Fax: 636-439-2054 | |
Mrs. Jennifer Gandolfo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 Soft Crossing Ln, O Fallon, MO 63366 Phone: 314-440-8985 | |
Elizabeth Conner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Bryan Valley Commercial Dr, O Fallon, MO 63366 Phone: 636-240-8096 | |
Mrs. Keri Lynn Dunivan, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 329 Falcon Hill Dr, O Fallon, MO 63368 Phone: 636-278-0191 | |
Rachel Erdmann, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Garden Path, O Fallon, MO 63366 Phone: 636-978-2148 | |
Hannah Renee Hedrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7068 S Outer 364, O Fallon, MO 63368 Phone: 636-240-6100 | |
Mrs. Carla Louise Douglas, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Fawn Oaks Dr, O Fallon, MO 63366 Phone: 314-452-4947 Fax: 636-379-9655 |